CNA Drill

CNA exam practice question: Emotional and Mental Health Needs

Emotional and Mental Health NeedsDifficulty 3/5

A resident with dementia insists on going home to a house that was sold years ago. What is the appropriate response?

  1. AExplain clearly that the house was sold and the resident now lives here
  2. BAgree that the resident will go home later that afternoon as requested
  3. CLeave the resident alone until the agitation subsides on its own
  4. DRespond calmly, look for an unmet need, and redirect to something familiar
Show answer and rationale

Correct: D. Section 483.152(b)(5) covers appropriate responses to the behaviour of cognitively impaired residents and methods of reducing the effects of cognitive impairment. Behaviour is usually communicating an unmet need.

  • A — Correcting a resident with dementia raises distress and does not change the belief.
  • B — A promise that will not be kept is a deception and the distress returns.
  • C — Withdrawing leaves an unmet need unaddressed and the resident unsupervised.

Concept being tested

5 of the 60 scored items. Modifying the aide's own behaviour in response to resident behaviour, the developmental tasks of ageing, responding to resident behaviour, supporting personal choice consistent with dignity, and the care of cognitively impaired residents including dementia. — 8% of the exam. Study guide for Emotional and Mental Health Needs.

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Primary references

  1. 42 CFR Part 483 Subpart D — Requirements That Must Be Met by States and State Agencies, Nurse Aide Training and Competency Evaluation — Office of the Federal Register (eCFR) · government · retrieved 2026-09-22, verified 2026-09-22
  2. The 2024 National Nurse Aide Assessment Program (NNAAP) Written (Oral) Examination Content Outline — Credentia Nurse Aide LLC · primary · retrieved 2026-09-22, verified 2026-09-22
Last reviewed: 2026-10-07Reviewed by: Sarah Jenkins, BSN, RN, Nurse aide educator & clinical skills reviewHow we verify facts